DAVID ALLEN LOGUE

SANTA ROSA, CA
NPI1104471135
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-08-06
Last Update Date2019-08-06
Business Address
DAVID ALLEN LOGUE
440 ARROWOOD DR
SANTA ROSA, CA 95407-7503
Phone number: 707-284-2950
Mailing Address
DAVID ALLEN LOGUE
440 ARROWOOD DR
SANTA ROSA, CA 95407-7503
Phone number: 707-284-2950
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